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McGuireWoods’ healthcare litigation group and government and industry leaders provided an in-depth discussion of critical litigation, regulatory and enforcement issues and trends in the healthcare industry.

Keynote Panel
Current and former government prosecutors discussed recent enforcement, administrative actions and sanctions.

Other Featured Panelists
In-house counsel for leading payors and providers — Aetna, WellCare, Presence Health, Cleveland Clinic, Meridian Health, Rush, IlliniCare and Humana — plus government and enforcement professionals and key industry corporate counsel discussed

• False Claims Act − key considerations and recent developments
• Payor and provider litigation − recent trends and winning strategies
• Litigation prevention − robust compliance programs and internal investigations
• What’s new in HIPAA and data security − breaches, enforcement and HIPAA as a conduct standard
• Adding value through overpayment and secondary payment recoveries, bankruptcy, streamlined litigation, legal project management, and cost reduction
• Regulatory updates

Conference Materials

• HIPAA Heats Up
• Keynote Panel I: Healthcare Litigation Trends: The Government Perspective on Enforcement, Administrative Actions and Sanctions
• HIPAA and Privacy Policy Training
• Federal Government Recovers $3.5 Billion from False Claims Cases in 2015
• Recent OIG Criminal and Civil Enforcement Actions
• Recent HIPAA Enforcement Actions
• Mitigating FCA Whistleblower Risk When Employees Leave
• No Secret Here: Supreme Court Set to Hear Yet Another FCA Case Next Term
• Number of Medically Unnecessary False Claims Cases Likely to Diminish
• Relators Recover Over $1 Billion in Non-Intervened Cases in Fiscal Year 2015
• Seventh Circuit Finds that Pharmacy Discount Programs Are Not Exempt from the Definition of “Usual and Customary”
• Supreme Court Hands Down Opinion in Universal Health Services v. Escobar
• Supreme Court Hears Arguments Regarding the Implied Certification Theory
• Tenth Circuit Elaborates Upon FCA’s Materiality Requirement
• The Olympus Debacle: Why Internal Whistleblowing is a Good Thing for Compliance
• 7th Circ. May Be Willing To End FCA Circuit Split
• Can a Relator Plead with Particularity without Alleging that a Patient’s Bill was Submitted to the Government?
• Third Circuit Ruling Reflects the Narrowed Scope of the Public Disclosure Bar under the Affordable Care Act
• Circuit Court Rules that Ambiguous Regulatory Requirements Cannot Give Rise to FCA Liability
• DOJ Announces Will Appeal Loss in AseraCare, Triggering Issues on Battle of the Experts, Statistical Sampling, and Bifurcation
• Navigant Consulting, Inc FCA Brochure
• Fifth Circuit Provides Guidance on Who Has Standing to Pursue an FCA Retaliation Claim
• Freddie Mac and Fannie Mae Not Considered Government Agents Under the FCA
• Best Practices for Internal Investigations